| NPI | 1093932030 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001483) | 
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001536) | 
| Enumeration Date | 2007-04-19 | 
| Last Update Date | 2016-02-09 |